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Copyright of Revista Foco (Interdisciplinary Studies Journal) is the property of Revista Foco and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: In nursing practice, this concept has been identified in studies that address the nursing diagnosis of impaired spontaneous ventilation. Nursing performance facing this unwanted human response is considered essential for the maintenance and control of vital signs, cardiovascular monitoring, gas exchange and respiratory pattern, as well as constant surveillance aimed at signs of hypoventilation and inadequate ventilation. Objective: To analyze the concept of impaired spontaneous ventilation in critically ill patients in an intensive care unit. Methodology: This study is a concept analysis, according to Walker’s and Avant’s method, conducted using an integrative review. All the referential steps were followed: concept selection, determining the objectives and proposals for concept analysis, identifying the possible uses of the concept, determining the defining attributes, identifying a model case, identifying a contrary case, and identifying the precedents and consequences of the concept. Results: A sample of 38 studies was selected. The following were identified as attributes: distress and fatigue, respiratory distress, tachycardia, hemodynamic instability, altered mental status, abnormal arterial blood gas results, dyspnea, anxiety, agitation, sweating, hypoxemia and hypercapnia. Antecedents: sex, age, oxygen saturation lower than 90%, diseases of the respiratory, cardiovascular, neurological, gastrointestinal, neuromuscular, and metabolic systems, respiratory infections, trauma, poisons, toxins, and sedatives. Consequences: increased heart rate, decreased partial oxygen saturation, increased use of respiratory muscles, dyspnea, increased metabolic rate and restlessness. The model case and the contrary case were used to illustrate the attributes, antecedents, and consequences. Conclusion: The study directed the strengthening of evidence about the phenomenon and demonstrated a strong occurrence in patients who need assistance in intensive care units, thus demanding critical care. [ABSTRACT FROM AUTHOR]

Copyright of RIIS: Revista de Investigação & Inovação em Saúde is the property of RIIS: Revista de Investigacao & Inovacao em Saude and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Enfermería en Cardiologia is the property of Asociacion Espanola de Enfermeria en Cardiologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Enfermería en Cardiologia is the property of Asociacion Espanola de Enfermeria en Cardiologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Enfermería en Cardiologia is the property of Asociacion Espanola de Enfermeria en Cardiologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objetivo: Determinar la prevalencia de los diagnósticos enfermeros en pacientes adultos mayores hospitalizados con úlceras por presión e identificar los diagnósticos enfermeros reales, potenciales, de salud y síndrome por patrón funcional de salud. Material y métodos: Estudio Transversal, descriptivo conformado por una muestra de pacientes adultos mayores hospitalizados en diferentes servicios de un Hospital de Acapulco, Guerrero, México. Para su evaluación, se diseñó un instrumento de acuerdo con los patrones funcionales de Marjory Gordon. Se utilizó la plataforma de mejores prácticas de enfermería E-cuidados® para el análisis. Resultados: El presente estudio identificó 36 diagnósticos relevantes, de los cuales 23 (63.9 %) fueron diagnósticos centrados en el problema, 10 (27.8 %) diagnósticos de riesgo y 3 (8.3 %) de promoción a la salud. Los patrones funcionales más afectados son; Actividad-Ejercicio, Nutricional-Metabólico y Valores-Creencias. Conclusiones: El presente estudio ayuda a enfatizar la importancia de adoptar estrategias preventivas y de atención integral, así como la mejora de la planificación de la atención para evitar el deterioro de las condiciones en los pacientes adultos mayores.

Resumen En este estudio se presentan los resultados de un ejercicio de priorización de lenguajes enfermeros estandarizados, pertenecientes al área psicosocial, realizado en el contexto de un programa formativo de 20 horas. Participaron un total de 15 enfermeras, la mayoría del ámbito de atención especializada, con experiencia laboral, utilizadoras habituales de estos lenguajes, con formación previa al respecto y actitud favorable. Se priorizaron los siguientes diagnósticos de NANDA-I: 00146 Ansiedad, 00054 Riesgo de soledad, 00150 Riesgo de suicidio, 00053 Aislamiento social y 00214 Disconfort. Entre los criterios de resultado NOC, se priorizaron: 1205 Autoestima, 0300 Autocuidados: actividades de la vida diaria, 1209 Motivación, 1204 Equilibrio emocional y 1211 Nivel de ansiedad. Y entre las intervenciones NIC: 4920 Escucha activa, 5270 Apoyo emocional, 5250 Apoyo en la toma de decisiones, 7040 Apoyo al cuidador principal y 7140 Apoyo a la familia. Posteriormente, se seleccionaron los principales indicadores diagnósticos y de resultado, describiendo el grado de solapamiento entre ellos. Asimismo, para las intervenciones, se relacionaron las actividades priorizadas por el grupo de trabajo con la evidencia disponible.

Objective: To identify the most frequent clinical signs and symptoms and nursing diagnoses in patients in the immediate postoperative period of bariatric surgery. Methods: Observational study. Data collection was performed by two examiners and included epidemiological, social, clinical and physical examination. The presence and frequency of clinical signs and symptoms were recorded and led to the development of nursing diagnoses, according to the NANDA-I taxonomy 2018-2020. Results: 50 patients participated, being predominantly female, aged between 30-39 years and monthly income of 1.0 to 1.5 salaries. 80% of patients report having a family history of obesity. The 16 most frequent clinical signs and symptoms and the 16 nursing diagnoses were raised, with emphasis on the diagnostic titles: risks of infection and dysfunctional gastrointestinal motility. Conclusion: The present study identified the most frequent nursing signs and symptoms and also nursing diagnoses of patients in the immediate postoperative period of bariatric surgery, in addition to surveying important sociodemographic, epidemiological and clinical history data. These findings favor the implementation of the nursing process by facilitating the nurse's diagnostic reasoning. [ABSTRACT FROM AUTHOR]

Introducción: la Organización Mundial de la Salud, ha evidenciado en los últimos años un aumento en la afectación de la salud mental de las personas, de ahí la necesidad de realizar estudios dirigidos a comprender y caracterizar a la población que asiste a los servicios de salud y, en este caso específico, a la consulta individual de enfermería en salud mental. Metodología: enfoque cuantitativo de tipo descriptivo, se utilizaron 262 registros de citas programadas para esta consulta. Como fuente de información primaria se contó con la base de datos del profesional de enfermería de salud mental y del Expediente Digital Único en Salud (EDUS). Para el análisis de los datos, se aplicó estadística descriptiva básica. Resultados: Se determina que la edad promedio de la persona usuaria es de 42 años, hay un predominio del sexo femenino, con estado civil “soltero” y en secundaria incompleta. Se identifica que el principal diagnóstico de enfermería en salud mental que afectó a las mujeres fue los “problemas relacionados con la familia y el hogar” con un 52,1 % y en el caso de los hombres fue “dificultad de afrontamiento de factores estresores” con un 41,5 %. Conclusiones: la consulta individual de enfermería en salud mental se destaca como un recurso para la población usuaria del servicio de salud, debido a que estos espacios brindan la oportunidad de producir un cambio que favorezca estrategias de afrontamiento efectivas ante las situaciones problemáticas de la vida diaria.

Acute Myocardial Infarction is one of the most prevalent health/disease conditions in urgent and emergency care, making it necessary to know the responses of each individual and their main existing nursing diagnoses. This study aims to identify a profile of nursing diagnoses present in patients with Acute Myocardial Infarction treated at the urgency/emergency. This is a descriptive study, operationalized from an integrative literature review. Data collection was performed in June 2019 obtained 11 articles, tracing 12 nursing diagnoses, based on 20 identified signs and symptoms. It was concluded that patients with Acute Myocardial Infarction have several nursing diagnoses, mainly related to physiological processes, respiratory system, cardiovascular, hydration, and psychological, and the nurse should pay attention to these aspects, subsidizing holistic care. [ABSTRACT FROM AUTHOR]

Copyright of Enfermagem Brasil is the property of Atlantica Editora and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Ojective: to characterize the profile of hospitalized patients in the pediatric ward and to identify the most prevalent Nursing Diagnoses, according to the NANDA-I taxonomy. Methodology: descriptive study based on medical records of 100 patients. Variables such as: age, gender, patient classification system, clinical and nursing diagnosis were considered. The Rcommander® program was used to perform the exploratory analysis and tests of non-parametric hypotheses, being considered level of significance of 5%. Results: predominance of males (71%), mean age of 7.32 years, Intermediate Care (49%) was the most frequent, Pediatrics was the clinic with the greatest number of hospitalizations (39%), 44 medical and 46 nursing diagnoses, of which 27 were considered as preponderant. Conclusion: the accomplishment of the situational diagnosis allows a guiding character for the other stages of the Nursing Process and directs care actions, contributing to the continuous improvement of quality and safety of care. [ABSTRACT FROM AUTHOR]

Introduction: Universalizing the language used by nurses will allow greater visibility for the profession; however, the Systematization of Nursing Assistance (SAE) in Primary Health Care (PHC) is still incipient. Among its phases, there are elements that require proper nomenclature. Objectives: To analyze existing nomenclatures and their potential for use in PHC. Methodology: Critical review of literature on nursing nomenclatures in Brazil: NANDA-I / NIC / NOC, CIPE / CIPESC and CIAP. Results: The nomenclatures searched are individuals / family / community. They focus on "problems" or "needs" and not just on clinical diagnosis of diseases. NANDA-I / NIC / NOC and CIPE / CIPESC does not have the potential to communicate with other professional categories, which constitutes a problem in the scope of PHC. The nomenclatures traditionally used by nursing had their application more focused on the hospital practice, except for CIPESC and CIAP. Conclusions: the literature reveals a lack of consensus regarding the potential of applying these nomenclatures for nursing use in PHC. [ABSTRACT FROM AUTHOR]

Objectives: To develop a nursing care instrument to guide the care of children and adolescents with cancer in palliative care in the Pediatric Oncology Intensive Care Center. Methodology: Methodological research, whose scenario was a federal unit specialized in cancer treatment, located in the city of Rio de Janeiro, Brazil. Nursing records were analyzed in the medical records of children and adolescents, for the elaboration of a care instrument containing nursing history, based on the four dimensions of palliative care, diagnoses, interventions and their expected results. Results: an instrument was elaborated according to the Nursing Process, containing a history in addition to the NANDA-I-NIC-NOC link. Conclusion: this instrument aims to serve as a basis for nurses to perform the nursing process for children and adolescents in palliative care admitted to the Pediatric Oncology Intensive Care Center, as it is scientifically proven to be effective in improving the quality of nursing care. [ABSTRACT FROM AUTHOR]

Objective: to present Nursing diagnosis (ND), interventions (NI) and results (NR) to assess the child from zero to two years old on Primary Health Care, based on the International Classification for Nursing Practice (ICNP). Method: qualitative research, of the action-research type, with seven nurses that act on PHC of a city in the west of Santa Catarina. ND, NI and NR were validated through Content Value Index. Results: Nineteen ND statements were created and validated, with ICNP®-based interventions and expected outcomes targeting children from zero to two years old. Conclusion: Creating ND, NI and NR supports and qualifies the work of nurses, empowering them and giving scientificity their actions [ABSTRACT FROM AUTHOR]

Objective: to analyze the profile of nursing diagnoses in patients in oncology palliative care according to the dimensions of the Multidimensional Approach Diagram. Methodology: quantitative descriptive study in Center of High Complexity in Oncology. The collection occurred between June and November of 2017 and the diagnoses were grouped in diagram and expressed by descriptive statistics. Results: 73 patients participated, the physical dimension listed: Unbalanced nutrition - less than bodily needs, Ineffective peripheral perfusion, Chronic pain, Impaired skin integrity risk and Risk of pressure lesion; social dimension: risk of the role of the caregiver and interrupted family processes; spiritual dimension exposed the Despair and Risk of spiritual suffering; and the psychological dimension to Anxiety, Feeling of Impotence and Fear. Conclusion: most of the diagnoses were physical, it is necessary to change postures in order to intervene in other needs, especially in the social, psychological and spiritual dimensions. [ABSTRACT FROM AUTHOR]

Copyright of Revista de Pesquisa: Cuidado é Fundamental is the property of Revista de Pesquisa: Cuidado e Fundamental Online and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Nursing UFPE / Revista de Enfermagem UFPE is the property of Revista de Enfermagem UFPE and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Nursing UFPE / Revista de Enfermagem UFPE is the property of Revista de Enfermagem UFPE and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

RESUMOInsuficiência cardíaca (IC) é causa frequente de internação exigindo do enfermeiro precisão na conduta clínica e adequado julgamento dos diagnósticos de enfermagem.Objetivo:verificar acurácia na determinação dos diagnósticos de enfermagem fadiga, intolerância à atividade e débito cardíaco diminuído em paciente com IC hospitalizados.Método:estudo descritivo aplicado aos enfermeiros experientes em diagnósticos de enfermagem NANDA-I e/ou IC. Avaliação da acurácia foi realizada a partir do cálculo das medidas: eficácia (E), falso negativo (FN), falso positivo (FP) e tendência (T). Foram aptos os enfermeiros com inspeção aceitável para dois diagnósticos.Resultados:o diagnóstico de enfermagem fadiga foi o mais erroneamente identificado pelos enfermeiros avaliadores.Discussão:a busca pelo aperfeiçoamento da acurácia diagnóstica reafirma a necessidade de treinamento contínuo e específico para a melhora da capacidade diagnosticadora do enfermeiro.Conclusão:o treinamento permitiu o exercício do raciocínio clínico e melhor acurácia dos enfermeiros.

La frecuencia de las gestaciones en mujeres en tratamiento con hemodiálisis está incrementándose en los últimos años. El aumento de fertilidad en estas pacientes se debe a la mejora de la eficacia de la diálisis, junto con el manejo clínico de la insuficiencia renal. Sin embargo, el embarazo de las pacientes hemodializadas sigue siendo un reto, debido a frecuentes complicaciones como la preeclampsia, la prematuridad severa, el polihidramnios, etc. Actualmente, se constata el ascenso de la tasa de supervivencia fetal y la disminución de la morbi-mortalidad materno-fetal. Presentamos el caso de una gestante en tratamiento con hemodiálisis que presenta una amenaza de parto prematuro a la 27+2 semanas de gestación. Se han formulado diagnósticos enfermeros siguiendo la taxonomía NANDA-NOC-NIC, con la finalidad de visibilizar la necesidad de un adecuado plan de cuidados en estas pacientes.

Copyright of Journal of Nursing UFPE / Revista de Enfermagem UFPE is the property of Revista de Enfermagem UFPE and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Enfermería Nefrológica is the property of Sociedad Espanola de Enfermeria Nefrologica and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

OBJECTIVE: to validate the operational definitions of the defining characteristics and risk factors of the three NANDA International (NANDA-I) nursing diagnoses and to revise these diagnoses' definitions. METHOD: content validation of nursing diagnosis. 146 defining characteristics and risk factors were identified in the literature in Brazilian and international databases. This was followed by content validation of the definitions of these diagnoses (presented by NANDA-I) and of the operational definitions (developed by the researchers) of the defining characteristics and risk factors, carried out by six expert nurses, regarding relevance, clarity and comprehensiveness. RESULT: of the 146 defining characteristics and risk factors, 22 were considered redundant and were excluded. The experts proposed changing the definitions of the diagnoses of Impaired Tissue Integrity and Risk for Impaired Skin Integrity. It was possible to identify various defining characteristics and risk factors which are not present in the NANDA-I taxonomy but which are indicated in the literature. CONCLUSION: the process attained its objective of producing valid operational definitions for defining characteristics and risk factors, which will permit the undertaking of validation studies for these diagnoses. The study's contribution to advancing scientific knowledge consists in its presenting clearer operational definitions for these diagnoses and a higher number of defining characteristics and risk factors, which will assist the nurses in the identification and use of the same with greater accuracy in clinical practice.OBJETIVO: validar las definiciones operacionales de las características definidoras y factores de riesgo de los tres diagnósticos de enfermería relacionados a la piel de la NANDA International (NANDA-I) y revisar las definiciones de eses diagnósticos. MÉTODO: validación de contenido de diagnóstico de enfermería. Se identificaron 146 características definidoras y factores de riesgo en la literatura en las bases de datos nacionales e internacionales. Enseguida, se realizó la validación de contenido de las definiciones de estos diagnósticos, presentadas por la NANDA-I y de las definiciones operacionales, elaboradas por las investigadoras, de las características definidoras y factores de riesgo, por seis enfermeras expertas, en cuanto a la pertinencia, clareza y abarcamiento. RESULTADO: de las 146 características definidoras y factores de riesgo, 22 fueron considerados redundantes y excluidos. Los peritos propusieron alterar la definición de los diagnósticos de Integridad Tisular Dañada y Riesgo de Integridad de la Piel Dañada. Fue posible identificar varias características definidoras y factores de riesgo que no están presentes en la taxonomía de la NANDA-I, pero, que fueron apuntados por la literatura. CONCLUSIÓN: el proceso alcanzó el objetivo de producir definiciones operacionales válidas para características definidoras y factores de riesgo, lo que permitirá realizar estudios de validación de estos diagnósticos. La contribución del estudio para el avance del conocimiento científico consiste en presentar definiciones operacionales más claras de estos diagnósticos y un número mayor de características definidoras y factores de riesgo que podrá aportar con los enfermeros en la identificación y utilización de los mismos con mayor precisión en la práctica clínica.OBJETIVO: validar as definições operacionais das características definidoras e fatores de risco dos três diagnósticos de enfermagem, relacionados à pele, da NANDA International (NANDA-I), e revisar as definições desses diagnósticos. MÉTODO: validação de conteúdo de diagnóstico de enfermagem. Identificaram-se 146 características definidoras e fatores de risco na literatura, nas bases de dados nacionais e internacionais. Em seguida, realizou-se a validação de conteúdo das definições desses diagnósticos, apresentadas pela NANDA-I e das definições operacionais, elaboradas pelas pesquisadoras, das características definidoras e fatores de risco, por seis enfermeiras peritas, quanto à pertinência, clareza e abrangência. RESULTADOS: das 146 características definidoras e fatores de risco, 22 foram considerados redundantes e excluídos. Os peritos propuseram mudar a definição dos diagnósticos de Integridade Tissular Prejudicada e Risco de Integridade da Pele Prejudicada. Foi possível identificar várias características definidoras e fatores de risco que não estão presentes na taxonomia da NANDA-I, mas que foram apontados pela literatura. CONCLUSÃO: o processo atingiu o objetivo de produzir definições operacionais válidas para características definidoras e fatores de risco, o que permitirá realizar estudos de validação desses diagnósticos. A contribuição do estudo para o avanço do conhecimento científico consiste em apresentar definições operacionais mais claras desses diagnósticos e número maior de características definidoras e fatores de risco que poderão contribuir para que os enfermeiros identifiquem e se utilizem dos mesmos com maior acurácia na prática clínica.

O uso de técnicas de estatística bayesiana é uma abordagem que tem sido bem aceita e estabelecida em campos fora da enfermagem como um paradigma de redução da incerteza presente em uma dada situação clínica. O presente artigo tem como propósito apresentar um direcionamento para o uso específico do paradigma bayesiano na análise de diagnósticos de enfermagem. Para isso, as etapas e interpretações de análise bayesiana são discutidas; um exemplo teórico e outro prático sobre análise bayesiana de diagnósticos de enfermagem são apresentados; e há a descrição de como a abordagem bayesiana pode ser utilizada para resumir o conhecimento disponível e apresentar estimativas pontuais e intervalares da verdadeira probabilidade de um diagnóstico de enfermagem. Conclui-se que a aplicação de métodos estatísticos bayesianos é uma importante ferramenta para a definição mais acurada de probabilidades de diagnósticos de enfermagem.

The study shows the care and pathophysiological aspects of multiple sclerosis. It aims to report the knowledge acquired by nursing students on the care, specifically of people with multiple sclerosis caused disabilities and also provide nursing interventions that might help in promoting the welfare and improving the life quality. This is a case study, based on data collected through interviews, physical examination and search on records in a systematic way to identify problems. The results are presented in the form of clinical history, diagnoses and planning care for a female patient who developed the disease. The experience presented herein provides evidence that describing the basics of nursing care perceived and implemented by students, guided and supervised by teachers of nursing, is a tool in teaching and learning of caring.

In this paper I would like to discuss the Past, Present, and Future of the nursing diagnosis, as a category and as a process. There were a series of events that set the stage for the development of nursing diagnoses and a focus on nurses clinical reasoning skills.

Pesquisa exploratório-descritiva, desenvolvida com os objetivos de construir afirmativas de diagnósticos, resultados e intervenções de enfermagem para crianças internadas na Clínica Pediátrica de um hospital escola, tendo como base o Banco de Termos da Linguagem Especial de Enfermagem da referida Clínica Pediátrica e a CIPE® Versão 1.0; e de validar as afirmativas construídas com a participação de enfermeiros experts. Foram elaboradas 107 afirmativas de diagnósticos / resultados de enfermagem, das quais 48 atingiram IC >0.8 (44,85%) entre os enfermeiros experts, no processo de validação. Para estas 48 afirmativas, foram elaboradas 330 intervenções de enfermagem, das quais 270 alcançaram IC >0.8 (81,81%) entre os enfermeiros experts. Acredita-se que a utilização dessas afirmativas poderá representar um relevante instrumento no processo de sistematização da assistência de enfermagem na Clínica Pediátrica do hospital escola.

Tratou-se de um estudo inter-relacional retrospectivo,o qual teve como objetivo descrever o perfil dos diagnósticos de enfermagem de 31 pacientes em início de tratamento hemodialítico em uma clínica de hemodiálise na Zona Sul de São Paulo. A pesquisa foi realizada a partir de prontuários. Os dados utilizados incluíram: identificação do paciente, doença de base, dados do exame físico, anotações e evoluções multiprofissionais. Os diagnósticos de enfermagem mais prevalentes incluíram: perfusão tissular renal ineficaz (100,0%), risco para infecção (100,0%), proteção ineficaz (80,6%) e controle ineficaz do regime terapêutico (54,8%). Concluiu-se que a identificação do perfil de diagnósticos destes pacientes é essencial para o planejamento da assistência de enfermagem após o início do programa de hemodiálise.El presente estudio retrospectivo tuvo como objetivo describir el perfil de los diagnósticos de enfermería de 31 pacientes que iniciaron tratamiento de hemodiálisis en una clínica de hemodiálisis en la Zona Sur de São Paulo. La investigación fue realizada a partir de registros de los pacientes. Los datos utilizados fueron: la identificación del paciente, enfermedad de base, los datos de las notas del examen físico y evaluaciones multidisciplinarias. Los diagnósticos de enfermería más frecuentes fueron: perfusión tisular inefectiva renal (100,0%), riesgo de infección (100,0%), protección ineficaz (80,6%) y control ineficaz del régimen terapéutico (54,8%). Se concluyó que la identificación del perfil de los diagnósticos de enfermería de estos pacientes es esencial para la planificación de cuidados de enfermería tras el inicio de la hemodiálisis.This was a retrospective study, which aimed to describe the profile of nursing diagnoses of 31 patients starting hemodialysis treatment in a hemodialysis clinic in the South Zone of São Paulo. The survey was conducted from patients' records. The data used included: patient identification, underlying disease, data from physical examination notes and multidisciplinary evaluations. The most prevalent nursing diagnoses included: ineffective renal tissue perfusion (100.0%), risk for infection (100.0%), innefective protection (80.6%) and ineffective management of therapeutic regimen (54.8%). It was concluded that the identification of the profile of nursing diagnoses of these patients is essential for the planning of nursing care after initiation of hemodialysis.

Introducción: La violencia en Colombia en especial en la población infantil, ocupa los primeros lugares al momento de priorizar la problemática en salud, no solo por su magnitud si no por el fuerte impacto y las repercusiones que tiene en la salud mental del niño. Objetivo: Determinar la prevalencia de los diagnósticos de enfermería en escolares desplazados víctimas de la violencia social e intrafamiliar. Materiales y métodos: estudio de prevalencia. La muestra fue de 56 niños y niñas en edad escolar de los grados 1 a 5 primaria, seleccionada por conveniencia. Se utilizó un formato de valoración validado. Resultados: los diagnósticos de mayor prevalencia fueron disposición para mejorar el autoconcepto con un 100%, disposición para mejorar la comunicación con el 85,7%, temor con el 75% y riesgo de síndrome post traumático con 60,7%. Los de menor prevalencia fueron: afrontamiento inefectivo tuvo una prevalencia del 37,5%, riesgo de violencia dirigida a otros con 16,1%. Discusión: Se encontró que los niños que presentaban el diagnóstico síndrome postraumático, también presentaban el diagnóstico temor. Se requiere mayor atención por parte del personal de salud es el manejo de Síndrome traumático de la violación el cual aparece con un 7,1%, correspondiendo a 2 niños y 2 niñas con este diagnóstico. Conclusión: los niños y niñas escolares desplazados víctimas de la violencia social e intra familiar presentan un número considerable de diagnósticos psicológicos que ameritan una evaluación minuciosa y un manejo que les permita enfrentar las situaciones traumáticas vividas, que de no hacerse en forma adecuada podría considerarse una población en alto riesgo para trastorno mental. Salud UIS 2009; 41: 149-156.Introduction: The violence in Colombia, especially in children, took the first places at the moment to prioritize the problems in health, not only for its size if not for the strong impact and the repercussion that it has it has on children's mental health. Objective: To determine the prevalence of nursing diagnosis in school children displaced victims of social and intra-family violence. Materials and methods: prevalence study. The sample comprised 56 children of school age in the primary grades 1 to 5 selected for convenience. We used a form of valuation validated. We calculated the prevalence of nursing diagnoses, with a confidence interval of 95%. Results: The most prevalent diagnosis were Willingness to improve self with a 100% provision to improve communication with 85.7%, Fear with 75% and Risk of post-traumatic syndrome with 60.7%. The lowest prevalence was: ineffective coping had a prevalence of 37.5%, risk of violence directed at others with 16.1%. Discussion: It was found that children presenting post-traumatic syndrome diagnoses also had fear diagnosis. It requires more attention by health staff is handling the rape trauma syndrome which appears with a 7.1%, corresponding to 2 boys and 2 girls with this diagnosis. Conclusion: School children displaced victims of the social and intra-family violence presents a considerable number of psychological diagnoses that require careful assessment and management to enable them to cope with the trauma experienced, that is not done in an appropriate manner could be considered a population at high risk for disorder mental. Salud UIS 2009; 41: 149-156

La impregnación neuroléptica es un trastorno causado por los efectos adversos del tratamiento terapéutico con neurolépticos, que provocan en ciertos pacientes una variedad de efectos secundarios, que al ser identificados obligan a reducir las dosis o emplear otros medicamentos para controlarlos, pero, si no son hallados a tiempo sus síntomas se acentúan hasta llegar a ser un síndrome neuroléptico maligno, el cual es altamente mortal. La presente investigación está enfocada a plantear los diagnósticos e intervenciones en el correcto manejo de este trastorno, observando que el personal de enfermería del hospital mental no dispone de un plan de cuidados que incluya la valoración diagnóstica de enfermería y por tal motivo no se lleva a cabo un tratamiento terapéutico apropiado. Con los resultados obtenidos, se encontró que es más frecuente en el género masculino, ya que es la patología en la que más se presenta como es el trastorno psicótico agudo. Los neurolépticos más utilizados en los pacientes con impregnación neuroléptica son el haloperidol y el sinogan; y los efectos adversos se presentan con mayor frecuencia después de 0-13 días de tener instaurado un tratamiento farmacológico con neurolépticos. Las actividades realizadas por el personal de enfermería del Hospital Mental Rudesindo Soto con los pacientes que presentan impregnación neuroléptica, son en la mayoría de los casos la administración del medicamento antagonista y con menor frecuencia la suspensión del neuroléptico, administración de dieta liquida y blanda. Los signos y síntomas más frecuentes son la rigidez muscular, confusión y disfagia. Se encontraron dieciséis diagnósticos de enfermería prevalentes de los cuales se eligieron seis prioritarios para intervenir.

Objetivo: determinar los diagnósticos de enfermería de adultos con cáncer, en tratamiento, en la Unidad de Oncología del Hospital Universitario de Santander, en Bucaramanga, durante el primer semestre del 2006. Metodología: estudio observacional de corte transversal. Se valoraron 90 adultos en tratamiento oncológico. Se aplicó un formato de tamizaje para diagnósticos de enfermería con las características definitorias de la clasificación realizada por la NANDA. Posteriormente se hizo valoración focalizada para establecer el diagnóstico de enfermería. Se consideró positivo cuando se encontraron al menos dos características definitorias, o una de riesgo. Los datos fueron sistematizados y se calcularon las prevalencias con IC95%. Resultados: se identificaron 142 diagnósticos. La mayor prevalencia correspondió a riesgo de lesión 94% (IC95% 88-98), la siguen conocimientos deficientes 92% (IC95% 85-97), riesgo de infección 91% (IC95% 84-96), patrón sexual inefectivo 84% (IC95% 77-92), disposición para mejorar el régimen terapéutico 84% (IC95% 76-91), conductas generadoras de salud, disposición para mejorar la comunicación y déficit de actividades recreativas, cada uno con 78% (IC95% 68-85). Conclusiones: la enfermera oncológica cuenta con el proceso de enfermería, herramienta valiosa para estandarizar el cuidado y mejorar la calidad de atención al paciente. Debe valorar su paciente, determinar los diagnósticos de enfermería, realizar las intervenciones según los diagnósticos y evaluar los resultados. Los diagnósticos más prevalentes recayeron en riesgos, déficit y disposición para mejorar. Las intervenciones de enfermería ayudan a minimizar los riesgos, suplir el déficit y aprovechar la disposición de la persona para promover calidad de vida, con la participación de la enfermera.Objective: To determine the nursing diagnoses in adults with cancer treated in the Oncology Unity of the Teaching Hospital of Bucaramanga, since January to July of 2006. Methodology: cross sectional study. Ninety adults with cancer were tested. A format test for screening of nursing diagnoses was used. This format contained defining characteristics for nursing diagnoses proposal for NANDA. Then, specific tests were applied for to confirm the nursing diagnoses. A person was considered with nursing diagnosis when at least 2 defining characteristics were present or one risk characteristic for risk diagnoses. The dates were filled and we calculated prevalence of nursing diagnoses with their confidential intervals of 95%. Results: one hundred and forty two nursing diagnosis were identified. There were high prevalences of Risk for injury 94% (IC95% 88-98), knowledge deficit 92% (IC95% 85-97), risk for infection 91% (IC95% 84-96), sexuality patterns altered 84% (IC95% 77-92), disposition for improve therapeutics regimen 84% (IC95% 76-91), health seeking behaviors, disposition for improved communication and amusement activity deficit, each one with 78% (IC95% 68-85). Conclusions: oncology nurse account with nursing process: important tool to standardize care and improve quality for attention oncology patients. Nurses must test their patients to determine nursing diagnoses, realized care account diagnoses and tested results. The high prevalence link with risk deficit and disposal to improve. The nursing interventions helpful to decrease risk, to supply deficit and make good use of disposition of patient for improve their quality of life, with participation of nurse.

El objetivo principal del estudio es conocer el riesgo de úlceras por presión en una Unidad de geriatría, siguiendo la escala Braden, relacionarlo con los principales diagnósticos de enfermería encontrados y visualizar dicho riesgo con las variables de carácter demográfico y de carácter clínico. Como objetivos secundarios se persigue conocer qué ítems de la escala de Braden predominan en la valoración del riesgo total de los pacientes estudiados y la prevalencia e incidencia de úlceras por presión en el período de estudio. El diseño de esta investigación corresponde a un estudio descriptivo prospectivo. Una vez realizado, podemos constatar que más de la mitad de los pacientes que ingresaron presentó riesgo de desarrollo de úlceras por presión y que éste aumentó con la edad y con las patologías médicas relacionadas con el déficit o alteración de la movilidad.The primary aim of the study is to find out the risk of pressure ulcers in a unit of geriatrics, according to the Braden Scale, to relate it to the principal nursing diagnoses found and to visualize the above mentioned risk with the demographic character and clinical character variables. As secondary aims, we wanted to determine which items of the Braden Scale prevail in the assessment of the total risk in the studied patients and the prevalence and effect of pressure ulcers within the period of study. The design of this investigation corresponds to a descriptive market study. After its completion, we can conclude that more than half of the hospitalized patients presented a risk of developing pressure ulcers and that this increased with age and medical pathologies related to the decrease or alteration of the mobility.

O objetivo deste estudo de caso foi aplicar o processo de enfermagem fundamentado nos Padrões Funcionais de Sáude, NANDA e NIC para uma adolescente portadora de diabetes mellitus secundário a fibrose cística e seu cuidador, visando ao cuidado integral. As intervenções de enfermagem foram fundamentadas nos seguintes diagnósticos de enfermagem: enfrentamento ineficaz e síndrome de estresse por mudança. A utilização desses referenciais possibilitou-nos o desenvolvimento de intervenções de enfermagem efetivas proporcionando um cuidado individualizado, além de promover uma linguagem de enfermagem padronizada.El objetivo del presente trabajo fue aplicar el proceso de enfermería fundamentados en la Taxonomia de los Diagnósticos de Enfermería de la North American Nursing Diagnosis Association - NANDA y en la clasificación de las intervenciones de la Enfermería - NIC respectivamente, para una joven portadora de diabetes mellitus secundaria a la fibrosis quística y su cuidador, visando el atención integral. Las intervenciones de enfermería fueron fundamentadas en los siguientes diagnósticos: enfrentamiento ineficaz y síndrome de estrés por cambio. La utilización de esos referenciales nos ha posibilitado el desarrollo de las intervenciones de enfermería efectivas proporcionando el cuidado individual, además de promover un lenguaje estándar de enfermería.The purpose of this case study was to apply nursing diagnoses and interventions based on the North American Nursing Diagnosis Association (NANDA) Taxonomy of Nursing Diagnoses and the Nursing Interventions Classification (NIC) on an adolescent with secondary mellitus to cystic fibrosis and on her caretaker in order to provide them full care and guidelines. The nursing interventions were based on the following diagnoses: ineffective confrontation and stress syndrome due to alterations. These references helped us develop effective nursing interventions that provided a framework for individualized care, in addition to promoting a standardized nursing language.

Objetivos: O objetivo foi mensurar as chances de ocorrência de diagnósticos de enfermagem de forma conjunta e concomitantemente aos fatores relacionados e problemas colaborativos. Metodologia: Estudo transversal, desenvolvido em um hospital público do município de Fortaleza - Ceará / Brasil. Realizaramse 270 avaliações diagnósticas em crianças portadoras de cardiopatias congênitas. Para a análise da razão de chance foram selecionados os diagnósticos de enfermagem com freqüência maior que 50%, fatores relacionados com freqüência acima do percentil 75 e os quatro mais freqüentes problemas colaborativos. Para avaliar a significância estatística da razão de chance foram calculados os intervalos de confiança de 95%. Resultados: Foram identificados 22 diagnósticos de enfermagem, 34 fatores relacionados e 23 problemas colaborativos diferentes. Encontrou-se 17 razão de chance significantes dos diagnósticos de enfermagem entre si, 38 entre os diagnósticos e os fatores relacionados e 13 entre os diagnósticos e os problemas colaborativos. Discussão: discute-se que os diagnósticos de enfermagem encontrados são influenciados pelas alterações de fluxo sangüíneo e de fornecimento de oxigênio característicos da enfermidade congênita. Conclusões: Conclui-se que a ocorrência conjunta dos diagnósticos aumenta as chances de desenvolvimento de múltiplas respostas humanas.Objetivo: Medir las probabilidades de ocurrencia de diagnósticos de enfermería, junto con los factores relacionados y los problemas asociados. Metodología: Estudio transversal desarrollado en un hospital público del municipio de Fortaleza, Ceará, Brasil. Se hicieron 270 evaluaciones diagnósticas en niños que sufrían cardiopatías congénitas. Para el análisis de la razón de probabilidad se seleccionaron los diagnósticos de enfermería con frecuencias mayores del 50%, los factores relacionados con frecuencias por encima del percentil 75 y los 4 problemas asociados más frecuentes. Para evaluar la significancia estadística de la razón de probabilidad se calcularon los intervalos de confianza del 95%. Resultados: Se identificaron 22 diagnósticos de enfermería, 34 factores relacionados y 23 diferentes problemas asociados. Se encontraron 17 razones de chance significativas entre los diagnósticos, 38 entre éstos y los factores relacionados y 13 entre los diagnósticos y los problemas asociados. Discusión: Los diagnósticos de enfermería pudieron estar influidos por las alteraciones del flujo sanguíneo y del suministro de oxígeno característicos de las cardiopatías congénitas. Conclusión: La ocurrencia conjunta de los diagnósticos aumenta las probabilidades de desarrollo de múltiples respuestas humanas.Objective: To measure the probability of occurrence of nurse-made diagnoses, together with related factors and associated problems. Methodology: A cross study was carried out in a public hospital at the municipality of Fortaleza, Ceará, Brazil. Two hundred and seventy diagnostic evaluations were made by nurses on children suffering from congenital heart diseases. For statistical analyses (probability rate) diagnoses with frequencies over 50%, related factors with frequencies above the 75 percentile, and the four most common associated problems were selected. Statistical significance was calculated with confidence intervals of 95%. Results: Twenty-two nurse-made diagnoses, 34 related factors, and 23 different associated problems were identified. Seventeen significant odds ratio were found among the diagnoses, 38 between them and the related factors, and 13 between the diagnoses and the associated problems. Discussion: The nurse-made diagnoses may be influenced by the alterations of blood flow and of oxygen saturation that are characteristic of patients with congenital heart diseases. Conclusion: The joint occurrence of diagnoses increases the probability of developing multiple human responses.

Investigar sobre diagnósticos enfermeros garantiza autonomía de la práctica; sin embargo, frecuentemente son formulados en el área hospitalaria; por ello, su determinación en el área no hospitalaria fue el objetivo de esta investigación cuantitativa descriptiva simple, realizada en el 2011 en 139 adultos mayores, entrevista dos durante visitas domiciliarias, aplicándoseles una Ficha de valoración integral, respetándose principios éticos. El estudio reveló que66.1% son mujeres; 62.7%, casados; 30.25%, analfabetos; 45.3%, tiene entre 60 y 69 años y57.5% tiene estudios primarios. No realizó exámenes médicos el 87%y el 94.2% no recibió vacunas. Presentaron: dependencia parcial 17.8% de mujeres y 21.8% dependencia total; 17.2% deterioro cognitivo leve o severo; 18.6% manifestaciones depresivas; 51% riesgo socio familiar y 15.9% problemas socio familiares. Las enfermedades frecuentes fueron: hipertensión arterial (34.5%), osteoporosis (20.8%) y manifestaciones depresivas (10.7%). El síndrome frecuente fue deprivación visual (33%), ddéficit nutricional (15%) y exceso de peso (30.8%). La mayoría de mujeres se ubica en categorías de enfermo (23.7%), frágil (14.3%) y complejo (4.1%). Las respuestas humanas descritas y los factores relacionados, generaron diagnósticos enfermeros, siendo los más frecuentes: gestión ineficaz de su salud relacionado con aplicación insuficiente de vacunas y control médico (94%), deterioro de la dentición relacionado con higiene oral deficiente y barreras para el cuidado profesional (87%), trastornos de la percepción sensorial: Visual relacionado con alteración de integración sensorial visual (33%),estreñimiento relacionado con actividad física insuficiente (23%), riesgo a deterioro de integridad cutánea relacionado con cambios anatómicos y fisiológicos de la piel (100%)y riesgo a lesión relacionado con disfunción auditiva y visual (56.7%).

Trata-se de um estudo de caso, desenvolvido num Centro de Saúde, do Distrito Federal, com o propósito de relatar a Assistência de Enfermagem a um paciente com Diabetes Mellitus. Para desenvolver este estudo foi aplicado o Processo de Enfermagem, nas etapas: Coleta de Dados; Diagnósticos de Enfermagem; Planejamento; Intervenções e Avaliação da Assistência proporcionada. Os Diagnósticos encontrados foram: Controle Ineficaz do Regime Terapêutico; Adaptação prejudicada; Imagem Corporal perturbada e Risco para Integridade da Pele Prejudicada. O Planejamento da Assistência de enfermagem visou principalmente contribuir para a adesão ao tratamento e diminuir riscos potenciais, fazendo uso da educação para saúde. Com a interação e o uso da comunicação terapêutica, observou-se uma pequena mudança nos hábitos de vida do paciente.Se trata de un estudio de caso, que desarrolló en un Centro de Salud, del Distrito Federal, con el propósito de describir el asistencia de Enfermería a un paciente con la Diabetes Mellitus. Para desarrollar este estudio fue aplicado el Proceso de Enfermería, en las fases: colección de Datos; Diagnósticos de Enfermería; Planeando; Intervenciones y Evaluación de la Asistencia proporcionada. Los Diagnósticos fueran: Control Ineficaz del Régimen Terapéutico; Adaptación perjudicada del Imagen Corpórea y Riesgo para la Integridad de Pele Dañado. La Planificación de la Asistencia de enfermería buscó contribuir para la adherencia al tratamiento y reducir los riesgos potenciales, principalmente, mientras haciendo uso de la educación para la salud. Con la interacción y el uso de la comunicación terapéutica, un cambio se observó en los hábitos de vida del paciente.It's a case study, developed in a Health Center, of the Federal District, with the purpose of describing the Nursing Attendance to a patient with Diabetes Mellitus. To develop this study the Nursing Process was applied, in the stages: Data Collection; Nursing Diagnoses; Planning; Interventions and Evaluation of the given assistance. It were found the following Diagnoses: Ineffective control of the therapeutic regimen; prejudiced Adaptation; disturbed image Corporal and Risk for the Integrity of Harmed Skin. The nursing assistance Planning sought mainly to contribute for the adhesion to the treatment and to reduce potential risks, making use of the health education. With the interaction and the use of the therapeutic communication, a small change was observed in the habits of the patient's life.

O objetivo deste estudo foi investigar os diagnósticos de enfermagem de familiares de pacientes vítimas de queimaduras. Dezessete membros da família de pacientes vítimas de queimaduras foram avaliados por meio de observação e entrevista. Os diagnósticos de enfermagem foram estabelecidos com base na Taxionomia II da NANDA. Foram identificados 18 diferentes diagnósticos de enfermagem. Os diagnósticos: ansiedade, medo e sentimentos de pesar antecipado se caracterizaram pela manifestação de desespero ante a possibilidade da perda de um ente querido. Alguns diagnósticos, possivelmente, já estavam presentes antes do acidente ocorrer, como, por exemplo: desempenho de papéis ineficazes, manutenção do lar prejudicada, paternidade e maternidade prejudicadas.El objetivo en este estudio fue investigar los diagnósticos de enfermería de familiares de pacientes víctimas de quemaduras. Fueron evaluados diecisiete miembros de la familia de pacientes víctimas de quemaduras por medio de observación y entrevista. Los diagnósticos de enfermería fueron establecidos con base en la Taxonomía II de la NANDA. Fueron identificados 18 diferentes diagnósticos de enfermería. Los diagnósticos: ansiedad, miedo y sentimientos de pesar anticipado se caracterizaron por la manifestación de desesperación ante la posibilidad de la pérdida de un ser querido. Algunos diagnósticos, posiblemente, ya estaban presentes antes de que ocurra el accidente, como por ejemplo: desempeño de papeles ineficaces, manutención del hogar perjudicado, paternidad y maternidad perjudicadas.This study is aimed at investigating the nursing diagnoses of family members of burn victims. Seventeen family members were evaluated through observation and interviews. Nursing diagnoses were established on the basis of NANDA Taxonomy II. Eighteen different nursing diagnoses were identified. The diagnoses: anxiety, fear and anticipatory grieving were characterized through the manifestation of despair in the face of the possibility of losing a loved one. Some diagnoses possibly had already been present before the occurrence of the accident, such as, for example: inefficient role performance, impaired home maintenance, altered parenting.